Wilson Cruz-leal (NPI# 1477644979, PAC ID# 2062601610) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1477644979 |
| PAC ID by PECOS | 2062601610 |
| Professional Enrollment ID | I20121108000426 |
| Full Name | Wilson Cruz-leal |
| Organization Legal Name | FORT SMITH HMA PBC MANAGEMENT LLC |
| Address |
1500 Dodson Ave Fort Smith AR 72901-5182 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8224172127 |
| Number of Group Practice Members | 90 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1500 Dodson Ave, Fort Smith, AR 72901-5182 | FORT SMITH HMA PBC MANAGEMENT LLC | |
| 1480 W Ctr St, Greenwood, AR 72936-3449 | FORT SMITH HMA PBC MANAGEMENT LLC |
| Organization Legal Name | FORT SMITH HMA PBC MANAGEMENT LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Kay Fiser | Nurse Practitioner | Fort Smith Hma Pbc Management LLC | 1200 Central St, Poteau, OK 74953-2320 |
| Allyson Moulton | General Surgery | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Chasidy A Mcallister | Nurse Practitioner | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Elizabeth Clark | Nurse Practitioner | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Rahim Khorassanizadeh | Endocrinology | Fort Smith Hma Pbc Management LLC | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 |
| John L Lange | Urology | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Robin G Smith | Radiation Oncology | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Lisa K Mcgraw | Family Practice | Fort Smith Hma Pbc Management LLC | 1500 Dodson Ave, Fort Smith, AR 72901-5182 |
| Roy Eugene Russell Jr. | Family Practice | Fort Smith Hma Pbc Management LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Vijay Kannam | Family Practice | Fort Smith Hma Pbc Management LLC | 1500 Dodson Ave, Fort Smith, AR 72901-5182 |
| Street Address |
1500 DODSON AVE |
| City | FORT SMITH |
| State | AR |
| Zip | 72901-5182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Moussallem | Nephrology | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| Robert Parris | Cardiovascular Disease (cardiology) | Baptist Health Services | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 |
| Brandi E Guthrey | Family Medicine | Baptist Health Services | 1500 Dodson Ave, Suite 195, Fort Smith, AR 72901-5178 |
| Abdul-nasser Adjei | Cardiovascular Disease (cardiology) | Baptist Health Services | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 |
| Kenneth Tonymon | Neurosurgery | Baptist Health Services | 1500 Dodson Ave, Suite 290, Fort Smith, AR 72901-5182 |
| Matthew Patton | Physician Assistant | The Dermatology Center Pllc | 1500 Dodson Ave, Suite 270, Fort Smith, AR 72901-5179 |
| German G Kamalov | Internal Medicine | Baptist Health Services | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 |
| James Bruton | Nephrology | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| Lisa Coker | Nurse Practitioner | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| Mark Fowler | Obstetrics/gynecology | Baptist Health Services | 1500 Dodson Ave, Suite 230, Fort Smith, AR 72901-5179 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Chiovoloni | Clinical Social Worker | 1320 N B St, Suite 100, Fort Smith, AR 72901-3210 | |
| Jerrica J Thomas | Physical Therapy | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | |
| Charles K Wright | Family Medicine | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Ngoc Van Hoang | General Practice | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Bryan Holland Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| John C Lane | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Katherine A Irish Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Elizmary C Cyril | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Edward L Gills | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Lawrence C Price | Internal Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Find all physicians in zip 72901 | |||
| City | FORT SMITH |
| Zip Code | 72901 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FORT SMITH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Wilson Cruz-leal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.